| NPI | 1396058525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZA E SAN MIGUEL President 787-963-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PR 2598) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PR 6040) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |